Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $30.61 / $42.85	Professional		$22.93	$30.61	$42.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $39.20 / $78.40	Professional		$36.00	$39.20	$78.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $152.90 / $152.90	Facility		$29.76	$152.90	$152.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $38.72 / $274.43	Professional		$29.65	$38.72	$274.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $67.08 / $104.01	Professional		$36.11	$67.08	$104.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $38.44 / $72.01	Facility		$29.14	$38.44	$72.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $38.44 / $68.34	Professional		$30.38	$38.44	$68.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $48.85 / $80.03	Professional		$8.26	$48.85	$80.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $72.08 / $79.06	Facility		$47.70	$72.08	$79.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $79.33 / $98.06	Professional		$28.85	$79.33	$98.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $33.69 / $38.28	Professional		$28.75	$33.69	$38.28
United Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $58.65 / $112.12	Professional		$36.00	$58.65	$112.12